| NPI | 1225270408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR 160109) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD160109) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OR 160109) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2016-10-04 |